Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.77 / $4,684.68 / $8,728.00	Facility		$595.77	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.54 / $689.74 / $892.03	Professional		$522.54	$689.74	$892.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $423.33 / $664.05 / $985.76	Facility		$423.33	$664.05	$985.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $418.15 / $666.72 / $732.98	Facility		$418.15	$666.72	$732.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $425.81 / $716.72 / $1,290.82	Facility		$425.81	$716.72	$1,290.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,550.94 / $2,059.69	Facility		$1,245.03	$1,550.94	$2,059.69
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00